Active NPI
JP Vandongen, MD, PA
- Family Medicine Physician
- Naples, FL
National Provider Identifier
1932202579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME73716
- Legal business name
- JP VANDONGEN, MD, PA
- Practice address
- 599 9TH St N
#308
Naples, FL 34102-5627 - Phone
- (239) 643-7888
- Fax
- (239) 643-4744
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Van Dongen, MD
- Title
- Owner/President
- Phone
- (239) 643-7888
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME73716 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME127276 | FL |
Addresses
Primary practice location
599 9TH St N
#308
Naples, FL 34102-5627
Mailing address
599 9TH St N
#308
Naples, FL 34102-5627
Phone (239) 643-7888
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5727534 | Other | AETNA | |
| 01-90398 | Other | OHC | |
| 255617100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515542400000",
"number": "1932202579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 9TH ST N",
"address_2": "#308",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025627",
"telephone_number": "239-643-7888",
"fax_number": "239-643-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 9TH ST N",
"address_2": "#308",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025627",
"telephone_number": "239-643-7888",
"fax_number": "239-643-4744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JP VANDONGEN, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2018-01-10",
"status": "A",
"authorized_official_last_name": "VAN DONGEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "239-643-7888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME73716",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME127276",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5727534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHC",
"identifier": "01-90398",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255617100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.